• Resuscitation · Dec 2007

    Case Reports

    Sternal fracture and osteomyelitis: an unusual complication of a precordial thump.

    • Walid Ahmar, Peter Morley, Silvana Marasco, William Chan, and Anuradha Aggarwal.
    • Department of Cardiology, The Royal Melbourne Hospital, Grattan Street, Parkville, 3050 Victoria, Australia.
    • Resuscitation. 2007 Dec 1;75(3):540-2.

    AbstractOut of hospital cardiac arrest is generally managed by cardiopulmonary resuscitation (CPR) and defibrillation. The precordial thump can also be used in the initial management of witnessed cardiac arrest whilst awaiting direct current cardioversion. However, complications are associated with a precordial thump. We report a case of an out-of-hospital cardiac arrest due to ventricular fibrillation that was treated initially with a precordial thump, which resulted in a sternal fracture and the development of sternal osteomyelitis.

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